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diagnosis differential acidosis algorithm base disorders management medications pharmacology workup acidbase ackd acquired acutekidneyinjury aki alkalosis bloodgas causes cystic disease
Acid Base Disorders - Blood Gas Interpretation Steps for Blood Gas Interpretation: 1. Acidemia or Alkalemia? 2.
Acid Base Disorders ... ABG And BMP Normal ... - Diarrhea - Renal ... Diagnosis #Summary #Nephrology ... #Acid #Base #Gas
Approach to Acid Base Disorders - Evaluation and Differential Diagnosis 1) Start with the Anion Gap (AG). 2)
Approach to Acid ... Do you need an ABG ... Generally, for acid ... an ABG by adding ... ~0.05 to pH and
Normal Anion-Gap Acidosis (NAGMA) - Differential Diagnosis Framework and Workup NAGMA - Chem, ABG or VBG - Calculate Anion
NAGMA - Chem, ABG ... or VBG - Calculate ... UA with urine pH ... Renal Loss of HCO3 ... Diagnosis #Workup #nephrology
Guide to Acute Kidney Injury (AKI) What to ask/look for: - HPI, PMH, full ROS
OTCs, herbals, abx ... protein/Cr - Renal ... /bladder US w/ PVR ... - CPK, uric acid ... AcuteKidneyInjury #AKI #Nephrology
Immunosuppression in Transplantation Induction (I): - Basiliximab (Simulect) - Alemtuzumab (Campath) - Rituximab - Anti-Thymocyte Globulin (ATG) Induction
Anti-Thymocyte Globulin (ATG ... - Mycophenolic Acid ... Maintenance #Management #Nephrology ... #Renal
Nephrolithiasis: Medications Associated with Renal Stones • Hypercalciuria: Furosemide, Topiramate, Vitamin D/Calcium, Glucocorticoids • Precipitation of
Associated with Renal ... Increased urine uric acid ... Change of urinary pH ... #Medications #Renal ... differential #diagnosis #nephrology
Acquired Cystic Kidney Disease (ACKD) Screening and Management • Asymptomatic dialysis/renal transplant patient, aged >60 years,
Kidney Disease (ACKD ... Asymptomatic dialysis/renal ... life expectancy → Ultrasound ... erythrocytosis, etc. → Ultrasound ... surveillance #radiology #nephrology
1 Formation of organic acids Lactate, dissociated fatty acids, acetic acids, etc. Metabolism H formationt 4 Hyperkalemia ЗНСО, Na 2 Mineralization 3 Hypoventilation CO; POA 3- HCO; 6 CO, output # with expiration Diarrhea 5 H*- Proximal tubule Renal
Formation of organic acids ... , acetic acids, ... Proximal tubule Renal ... Hypoaldo- steronism Arg ... 8 [Co] HO pH
#ICUCard RENAL GFR 90-131 mL/min ((140-age)*Wt)/(72*Cr) Glomerular Filtration Rate (Cockcroft) CI Cr 90-131 mL/min (CrU * volume)/CrS Creatinine Clearance FENa 0.0-1.0 % ((U/P Na)/(U/P Cr))*100 Fractional Excretion of Na+ Na req mEq (125-Na)*0.6*Wt Required Sodium FE Urea
#ICUCard RENAL ... (Na U(U/P Cr) Renal ... AG S 8-16 mEq ... 50mmHg (acute I pH ... on FIO2 < 50% pH
Management of Convulsive Status Epilepticus in children Stabilization Phase (Seizure 0-5 minutes): • Check and maintain ABC
Check and maintain ABC ... Consider CBC, renal ... • IV Valproic acid ... seizure #Management #neurology
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